Ballard Glenn Blair, DPM - Medicare Podiatrist in Shelton, CT

Ballard Glenn Blair, DPM is a medicare enrolled "Podiatrist - Primary Podiatric Medicine" provider in Shelton, Connecticut. He went to College Of Podiatric Med And Surgery, Des Moines University and graduated in 1986 and has 38 years of diverse experience with area of expertise as Podiatry. His current practice location is 375 Bridgeport Ave, Shelton, Connecticut. You can reach out to his office (for appointments etc.) via phone at (203) 929-5559.

Ballard Glenn Blair is licensed to practice in Connecticut (license number 00419) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1356350201.

Contact Information

Ballard Glenn Blair, DPM
375 Bridgeport Ave,
Shelton, CT 06484
(203) 929-5559
(203) 929-5277



Healthcare Provider's Profile

Full NameBallard Glenn Blair
GenderMale
SpecialityPodiatry
Experience38 Years
Location375 Bridgeport Ave, Shelton, Connecticut
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ballard Glenn Blair attended and graduated from College Of Podiatric Med And Surgery, Des Moines University in 1986
  NPI Data:
  • NPI Number: 1356350201
  • Provider Enumeration Date: 08/07/2006
  • Last Update Date: 09/04/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 8921120718
  • Enrollment ID: I20111213000339

Medical Identifiers

Medical identifiers for Ballard Glenn Blair such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356350201NPI-NPPES
004070918MedicaidCT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213EP1101XPodiatrist - Primary Podiatric Medicine 00419 (Connecticut)Primary
213ER0200XPodiatrist - Radiology 00419 (Connecticut)Secondary
213ES0103XPodiatrist - Foot & Ankle Surgery 00419 (Connecticut)Secondary
213E00000XPodiatrist CT000419 (Connecticut)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ballard Glenn Blair allows following entities to bill medicare on his behalf.
Provider NameB .glenn Blair Dpm P.c.
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1306020938
PECOS PAC ID: 4981725553
Enrollment ID: O20111213000275

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ballard Glenn Blair is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ballard Glenn Blair, DPM
375 Bridgeport Ave,
Shelton, CT 06484

Ph: (203) 929-5559
Ballard Glenn Blair, DPM
375 Bridgeport Ave,
Shelton, CT 06484

Ph: (203) 929-5559

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Podiatrist in Shelton, CT

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B .glenn Blair Dpm P.c.
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Practice Location: 375 Bridgeport Ave, Shelton, CT 06484
Phone: 203-929-5559    Fax: 203-929-5277
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